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NPI Code Detail

MEDICARE: GALI MISRA M.D.

MEDICARE: GALI MISRA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianD50048MD

General Provider Information

NPI Number : 1275524803
Entity Type Code : Individual
Provider Name (Legal Business Name) : GALI MISRA M.D.
Provider Business Mailing Address
First Line : 55 WADE AVE
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-4663
Country : US
Telephone Number : 410-402-6000
Fax Number : 410-402-7701
Provider Business Practice Location Address
First Line : 55 WADE AVE
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-4663
Country : US
Telephone Number : 410-402-6000
Fax Number : 410-402-7701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/08/2007

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Directions to “ GALI MISRA M.D.” Practice Location

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